Procedure 36 7 Maintain Provider/Professional-Level CPR Certification: Use an Automated

External Defibrillator
Name

Date

Score

CAAHEP COMPETENCIES: X.PXI.9

ABHES COMPETENCIES: 9.e, 9.o

Task: To defibrillate adult victims with cardiac arrest. Most adult victims in sudden cardiac arrest
are in ventricular fibrillation. The survival rate for victims with ventricular fibrillation is as high
as 90% when defibrillation occurs within the first minute of collapse; however, the survival rate
for these patients declines 7% to 10% with every minute defibrillation does not occur.

Scenario: You are asked by your employer to develop a list of groups in your community who
are part of the community-wide emergency preparedness plan that has been mandated by the
state and federal government. Using multiple resources, develop a comprehensive list of
emergency services for your area.
Equipment and Supplies

Practice automated external defibrillator (AED)

Approved mannequin

Standards: Complete the procedure and all critical steps in

minutes with a minimum score of 85% within three attempts.

Scoring: Divide the points earned by the total possible points. Failure to perform a critical step,
indicated by an asterisk (*), results in an unsatisfactory overall score.
Time began

Time ended

Total minutes:

Steps Possible
Points Attempt
1 Attempt
2 Attempt
3
1. Place the AED near the victim's left ear and then turn on the machine.
10

2. Attach the electrode pads as pictured on the AED. Place the electrodes at the sternum and
the apex of the heart. Make sure the pads are in complete contact with the victim's chest and do
not overlap.
20

3. All rescuers must clear away from the victim. Press the ANALYZE button; the AED
analyzes the victim's coronary status, announces whether the victim is going to be shocked, and
automatically charges the electrodes.
20
*4. All rescuers must clear away from the victim. If the machine is not automated, press the
SHOCK button. Three analyze-shock cycles may be performed.
20

5. Deliver one shock; leave the AED attached and immediately resume CPR, starting with
chest compressions.
10

6. After five cycles of CPR (about 2 minutes), repeat the AED analysis and deliver another
shock if indicated. If a nonshockable rhythm is detected, the AED should instruct the rescuer to
resume CPR immediately, beginning with chest compressions.
10

7. If the machine gives the "no shock indicated" signal, assess the victim. Check the carotid
pulse and the person's breathing status and keep the AED attached until emergency medical
services arrive.
10

Comments:

Points earned

÷ 100 possible points = Score

% Score

Instructor’s signature
Copyright © 2014 by Saunders, an imprint of Elsevier Inc.